相关实验视频

Updated: Jul 24, 2025

Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse

Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse

Published on: April 17, 2019

三维高清测量评估了患有先天性直肠形的儿童手术后门运河功能

Jiawei Zhao¹, Yanan Zhang¹, Yu Xiong¹

¹Department of Neonatal Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.

Frontiers in pediatrics

|July 3, 2023

概括

三维 (3D) 高清门测量评估了在术后门形 (ARM) 患者中重建的门功能. 虽然大多数人有可接受的结果,但受损的测量参数与便失禁相关,指导进一步的治疗.

科学领域:

儿科手术儿科手术
胃肠病学胃肠病学
泌尿器科泌尿器科泌尿器科泌尿器科

背景情况:

直肠形 (ARMs) 需要手术重建,需要对直肠的功能性评估.
评估重建的门通道的功能对于术后管理和患者的治疗结果至关重要.

研究的目的:

为了评估在术后直肠形 (ARMs) 患者中重建门的功能结果.
为了客观评估,利用三维 (3D) 高清无直肠测量仪进行客观评估.

主要方法:

在142名手术后的ARM患者 (3个月15年) 上进行了171次3D测量评估.
关键参数包括高压区域长度 (HPZ-长度),休息 (HPZ-休息) 和挤压 (HPZ-sqze) 压力,直抑制反射 (RAIR) 和道强度分布.
数据与年龄匹配的对照组进行了比较,并分析了功能性结果相关性.

主要成果:

与对照组相比,手术后的ARM患者的HPZ休息显著降低 (p<0.05).
在4岁以上的患者中,HPZ-sqze下降 (p<0.05).
在ARM患者中观察到更高比例的不对称强度分布和负RAIR;ARM类型和低HPZ-rest影响了结果.

结论:

3D测量仪提供了对ARM患者重建的门功能的客观评估.
大多数患者实现了可接受的功能结果,但特定的测量力异常 (低HPZ-rest/HPZ-sqze,负RAIR,不对称强度) 与便失禁有关.
微观测量结果有助于理解排便并发症,并指导临床管理.

关键词:

阴道直肠功能阴道直肠功能阴道直肠形阴道直肠形阴道直肠测量法 (anorectal manometry) 是一种用于测量阴道直肠的方法.术后并发症术后并发症预后预后预后

更多相关视频

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

Three-Dimensional Printing of a Complex Aortic Anomaly

Three-Dimensional Printing of a Complex Aortic Anomaly

Published on: November 1, 2018

相关概念视频

Assessment of the Rectum and Anus

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...

Imaging Studies VI: Voiding Cystourethrography and Cystography

Imaging Studies VI: Voiding Cystourethrography and Cystography

Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...

Urodynamic Studies: Uroflowmetry

Urodynamic Studies: Uroflowmetry

Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...